胰岛素对PC12细胞神经型一氧化氮合酶表达及活性的影响

为探讨胰岛素对神经细胞中神经型一氧化氮合酶（nNOS）的表达及活性的影响,应用流式细胞术、原位杂交、电子自旋共振等技术方法研究胰岛素对PC12细胞中神经型一氧化氮合酶的影响.胰岛素作用PC12细胞9 h 后,神经型一氧化氮合酶的免疫荧光强度显著升高,且呈浓度依赖关系,其最大效应为对照的(155±13)%(P＜0.01, n=3, t-test).加入胰岛素(16 mU/L, 6 h)也能够显著上调nNOS mRNA的表达,为对照的(182±13)%(P＜0.01, n=3, t-test).另外加入胰岛素(16 mU/L)作用9 h后,神经型一氧化氮合酶的活性也显著升高,为对照的(167±15)%(P＜0.01, n=4, t-test).由上述结果可知,胰岛素对PC12细胞的神经型一氧化氮合酶的表达及活性有上调作用.     

咸宁市县级医院医务人员生命质量与医院绩效的相关分析

目的 了解县级医院绩效与医务人员生命质量之间的关系。方法 采用随机抽样方法,应用世界卫生组织生命质量测定量表简表（WHOQOL-BREF）对咸宁市8家医院331名医务人员进行问卷调查。结果 县级医院医务人员在生理、心理、环境领域和总体健康状况得分低于常模,差异有显著性（t=8.15,P<0.001; t=7.46,P<0.001; t=3.56,P<0.001; t=5.61,P<0.001）;医院绩效和生命质量之间存在相关关系。结论 有必要采取措施提高医务人员的生命质量,从而提高县级医院绩效。     

高效液相色谱法测定超滤后血浆中的谷氨酰胺

用高效液相色谱法测定超滤后血浆中的谷氨酰胺, 平均回收率为96.75%, 在130～1300μmol/L范围内呈线性关系(r=0.9906), 健康人正常值男性为(694.97±102.31)μmol/L, 女性为(623.79±99.27)μmol/L, 男女间值有显著差别(P＜0.05)该分析方法简单、迅速, 可用于外科肠道内营养的监测和对肠粘膜结构与功能的研究.     

西藏双须叶须鱼年龄与生长特点研究

双须叶须鱼（Ptychobarbus dipogon Regan）隶属裂腹鱼亚科（Schizothoracinae）叶须鱼属（Ptychobarbus）,是西藏特有经济鱼类,2016年被列入中国脊椎动物红色名录,必须加快推动该鱼的养护工作。2013年2~3月份及2014年2~6月份,在雅鲁藏布江谢通门段与支流拉萨河上游段采集1 030尾双须叶须鱼样本,以脊椎骨作为年龄鉴定材料进行年龄与生长特点研究,以期分析和评价该类群鱼类资源情况。研究结果如下：双须叶须鱼样本中最大年龄为49龄,最小年龄为4龄;体重与体长关系是样本总体W=4.4×10^-5?SL^2.7688、雌鱼W_♀=5.0×10^-4?SL^2.3474、雄鱼W_♂=2.8×10^-5?SL^2.8414;体长生长方程为雌鱼L_t（♀）=431.8［1-e^-0.19（t+1.19）］,渐进体长L∞_（♀）=431.8 mm,拐点年龄为3.3龄,雄鱼L_t（♂）=367.6［1-e^-0.42（t+3.37）］,渐进体长L∞_（♂）=367.7 mm;体重生长方程为雌鱼W_t（♀）=767.40［1-e^-0.19（t+1.19）］^2.3474,雄鱼W_t（♂）=545.02［1-e^-0.42（t+3.37）］^2.8414;群体异速生长指数b=2.768 8与匀速生长指数3存在显著性差异,即P<0.05。研究表明双须叶须鱼体趋向低龄化,应当予以充分关注。     

蝎毒素BmkTXKβ对家兔心房肌细胞瞬间外向钾电流的抑制作用

为研究蝎毒素BmkTXKβ对家兔心房肌细胞瞬间外向钾电流(I_to)的影响,采用全细胞膜片钳技术记录应用BmkTXKβ前后的I_to电流. 结果显示BmkTXKβ（1 μmol/L）使心房肌细胞I_to（刺激电压为+50 mV）从（13.63±0.87）pA/pF减少到（7.98±0.78）pA/pF,抑制率为41.4% (n=16, P＜0.001).冲洗后, I_to部分恢复至(11.18±0.82)pA/pF (n=6, P＜0.01,与给药后比较).在0.01～100 μmol/L范围内BmkTXKβ呈浓度依赖性地抑制I_to,IC₅₀的均值为0.95 μmol/L (n=10, P＜0.01),但无频率依赖性(n=6,P＞0.05). 1 μmol/L的BmkTXKβ可使I_to通道的失活动力学曲线明显左移,V_1/2分别为（－23.6±2.7） mV和（－35.3±3.6） mV（n=8,P＜0.05）,曲线斜率基本不变.同时可使I_to通道的恢复过程明显减慢,恢复曲线右移,τ值从（51.2±8.5） ms延长至（93.5±13.4） ms（n=9,P＜0.01）,但不影响其激活过程.据此推断BmkTXKβ对家兔心房肌细胞I_to具有显著的抑制作用,主要作用于失活过程,延长该通道的恢复时间.     

广西扶绥白头叶猴对栖息地的选择与利用

为了解白头叶猴（Trachypithecus leucocephalus）的栖息地利用规律及其影响因素,2016年2月至2017年1月,采用瞬时扫描取样法对广西崇左白头叶猴国家级自然保护区一群白头叶猴的栖息地利用进行了研究。结果表明,白头叶猴对山体不同部位的利用存在显著性差异（χ² =39.467,df=3,P<0.001）,其中,对崖壁（56.75±9.55）%的利用比例最大,其次是对山坡（39.42±10.93）%和山顶（2.98±2.54）%的利用,而对山脚（0.84±1.47）%的利用频率最低。白头叶猴对不同微生境类型的利用存在差异（χ²=27.709,df=3,P<0.001）,其中对乔木（49.37±12.31）%的利用比例最大,其次是裸岩（24.05±13.61）%,随后依次为藤本（15.48±8.01）%和灌木（10.87±5.45）%。白头叶猴主要在山坡上觅食,利用崖壁移动、休息,进行社会活动;主要利用裸岩进行社会活动,觅食、移动、休息主要发生在乔木上。从整体来看,白头叶猴在雨季对乔木的利用频率显著大于旱季（Z=-2.680,n=12,P=0.007）;雨季在山坡觅食频率显著大于旱季（Z=-2.517,n=12,P=0.012）,而在崖壁觅食频率刚好相反（Z=-2.842,n=12,P=0.004）;白头叶猴雨季在乔木休息的频率显著大于旱季（Z=-2.355,n=12,P=0.019）。白头叶猴对栖息地的利用受到温度的影响。白头叶猴对乔木的总体利用频率随着平均温度的升高而增加（r=0.664,n=12,P=0.018）;觅食时,对崖壁、裸岩的利用频率均与平均温度成负相关关系（崖壁：r=-0.685,n=12,P=0.014;裸岩：r=-0.600,n=12,P=0.039）;休息时,对乔木的利用频率与平均温度呈正相关关系（r=0.650,n=12,P=0.022）。不同季节,白头叶猴对栖息地的利用方式不同。白头叶猴的栖息地利用模式可能是在觅食利益和捕食风险之间作出的权衡,并受到环境温度的影响。     

河南省医疗纠纷现况及对策研究

目的 了解河南省医疗纠纷现状,为缓解医患矛盾,减少医疗纠纷提供政策依据。方法 随机抽取100家各级医疗卫生机构,采用集中填答法进行问卷调查。 结果 2012—2014年平均每家医院医疗纠纷数达28.6件,每万例次业务量纠纷数0.943件,每百名医师纠纷数4.765件;外科、妇科及儿科是纠纷发生率前3位的科室;医务人员技术问题导致的医疗纠纷占27.9%,医德医风问题占10.5%,患者要求不合理占46.0%;多重线性回归分析显示医院平均年出院患者(t＝7.987 ,P＜0.001)、临床医师床位比(t＝-2.476 ,P=0.015)与护理人员床位比 (t＝-6.426,P＜0.001)对医疗纠纷数的影响差异有统计学意义;平均每家医院通过医患协商途径处理医疗纠纷27.5件,司法途径10.5件,医调委解决9.5件;医患协商平均耗时1.2月,平均费用76 927.4元;医调委途径平均耗时0.6月,平均费用36 141.1元;司法途径平均耗时6.3月,平均费用58 942.7 元。 结论 针对高发科室实施预警防范,根据纠纷特点选择适宜的处理方式;积极实施分级诊疗、双向转诊制度,缓解就医压力;进一步推进公立医院改革,破除逐利机制,构建和谐的医疗环境。

     

城市基层医疗机构管理者激情、组织创新与绩效

目的 探讨城市基层医疗机构管理者的工作激情对组织创新与组织绩效的影响。方法 采用问卷调查法在城市社区卫生服务机构收集数据,采用多元阶层线性回归分析法检验变量之间的关系及中介效应。结果 城市基层医疗机构管理者激情对组织创新（β=0.452,P＜0.01）和组织绩效（β=0.546,P＜0.01）具有积极显著影响,组织创新扮演了主要的中介作用（β=0. 358,P＜0.01）。结论 从三个理论视角诠释了充满激情的城市基层医疗机构管理者提升组织绩效的作用机制,为城市基层医疗组织理论与实践提供科学参考。     

免疫沉淀法测定乳酸脱氢酶同工酶1的研究

应用免疫沉淀法测定了乳酸脱氢酶同工酶1(LD1).血清与抗血清用量为10:1,加入抗血清5min后再加入与血清量相等的饱和硫酸铵溶液.离心后测定上清液中的LD.总酶活性在618U/L内线性关系良好.二份标本批内精度CV值分别为3.76%和4.70%,批间CV值为7.00%,免疫沉淀法与电泳法高度相关(n=22,r=0.976).72例正常人LD参考值为102.31±16.4U/L,LD1为23.65±4.39U/L,LD1/LD为23.12±3.85%.免疫沉淀法的优点是特异性高,操作简单,可用于自动生化分析仪.精确度高,线性关系好,测定范围宽,是测定LD1的理想方法.     

A new bone banking technique to maintain osteoblast viability in frozen human iliac cancellous bone

The aim of this study was to develop a new cryopreservation technique to maintain the osteoblast viability in frozen iliac bone and to prove cell viability using cell culture techniques.Human iliac cancellous bones were frozen with and without 10% Me(2)SO at -80 degrees C. The tubes were kept in a -80 degrees C freezer for at least 2 days. After the storage period, the frozen bone was thawed by placing the tube in a 37 degrees C water bath. A serial enzymatic digestion technique using 0.2% collagenase was employed to isolate osteoblast-like cells from the bone. The cells that were released were inoculated into tissue culture flasks containing DMEM supplemented with 10% FCS. They were incubated at 37 degrees C in a humidified atmosphere of 95% air and 5% CO(2). Cells of the second passage were plated at a density of 5 x 10(3)cells/cm(2) in a 24-well plate and used for characterization. For characterization, WST-1 assay, determination of alkaline phosphatase, Type I collagen assay, osteocalcin assay, and von Kossa staining were used. The assays were performed at 3, 6, 9, and 12 days after plating the cells. Based on the results of this study, we conclude that the osteoblast-like cells in the frozen bone can survive, only when the bone is frozen with cryoprotectants to prevent injury during freezing and thawing.     

骨唾液酸蛋白基因沉默抑制乳腺癌细胞与骨基质粘附

旨在探索骨唾液酸蛋白 (Bone sialoprotein,BSP) 基因沉默对亲骨转移乳腺癌细胞 (MDA-MB-231BO) 与骨基质粘附能力的影响,为以BSP为靶点的乳腺癌骨转移预防和靶向治疗提供实验依据。体外检测BSP基因沉默对乳腺癌细胞与小鼠骨基质粘附能力的影响,MTS法检测细胞增殖能力;扫描电镜观察骨片表面肿瘤细胞粘附情况和骨吸收状况;ELISA法检测骨基质细胞粘附培养上清中TGF-β1和RANKL表达分泌量差异;左心室注射法构建裸鼠骨转移模型,检测不同细胞株在裸鼠体内转移能力。结果提示BSP     

Rapid assay for gamma-carboxyglutamic acid in urine and bone by precolumn derivatization and reversed-phase liquid chromatography

A reversed-phase high-performance liquid chromatographic assay for the analysis of gamma-carboxyglutamic acid (Gla) in urine and bone protein hydrolyzates is described. The method employs precolumn derivatization with o-phthalaldehyde and mercaptoethanol. Gla was quantified by reference to an internal standard (beta-carboxyaspartic acid). The "within-run" coefficient of variation of the assay for Gla in urine was between 2.1 and 3.4%, and that for bone protein hydrolyzates was 3.2%. The "between-run" coefficient of variation ranged from 4.1 to 5.5%. There was good agreement between the measurement of urinary Gla by high-performance liquid chromatography and amino acid analyzer. Free Gla could not be detected in serum.     

Measurement of serum bone-specific alkaline phosphatase activity in cynomolgus macaques

Serum levels of bone-specific alkaline phosphatase activity (B-ALP) in cynomolgus monkeys were evaluated as an index of elevated bone turnover following ovariectomy. The enzyme immunoassay 96-well microtiter plate B-ALP assay, developed by Metra Biosystems (Mountain View, CA) for human use, was employed and compared with a standard automated assay measuring total serum levels of alkaline phosphatase activity (T-ALP). The B-ALP assay was first validated for use in these monkeys. Ovariectomy led to increased bone turnover as indicated by approximately 2-fold higher activity in both assays and this elevation was inhibited by daily estradiol administration. Although both assays provided generally similar results, several monkeys were observed to have greatly elevated values of T-ALP but not B-ALP. This discrepancy is believed to result from high levels of the liver isoform of alkaline phosphatase in monkeys with hepatic dysfunction, which are not detected by the B-ALP assay.     

Improved soft-agar colony assay in a fluid processing apparatus

Summary The standard method for quantitating bone marrow precursor cells has been to count the number of colony-forming units that form in semisolid (0.3%) agar. Recently we adapted this assay for use in hardware, the Fluid Processing Apparatus, that is flown in standard payload lockers of the space shuttle. When mouse or rat macrophage colony-forming units were measured with this hardware in ground-based assays, we found significantly more colony growth than that seen in standard plate assays. The improved growth correlates with increased agar thickness but also appears to be due to properties inherent to the Fluid Processing Apparatus. This paper describes an improved method for determining bone marrow macrophage precursor numbers in semisolid agar.     

人骨形成蛋白3在昆虫杆状病毒表达系统中的表达、纯化及其诱骨活性检测

为了在昆虫杆状病毒系统中表达人骨形成蛋白 3(humanbonemorphogeneticproteoin3,hBMP3) ,检测表达产物的诱骨活性 .将hBMP3全长cDNA 1416bp克隆入转移载体K8中 ,再与病毒DNA经脂质体包裹后转染昆虫细胞Sf9.重组病毒经蓝白筛选后 ,用PCR方法扩增目的基因片段进行初步鉴定 .收集重组病毒的转染上清 ,肝素亲和层析纯化目的蛋白 .SDS PAGE和Western印迹进一步鉴定此蛋白 .体外培养MC3T3 E1细胞 ,经目的蛋白刺激后 ,检测细胞内碱性磷酸酶 (ALP)活性 .并将目的蛋白进行小鼠体内肌肉包埋实验 ,检测其异位诱骨活性 .结果显示 ,肝素亲和层析可以收集 1个高的洗脱峰 .SDS PAGE显示 ,非还原型样本为 32kD的二聚体蛋白带和少量 16kD单体蛋白带 ;还原型样本仅有相应大小的单体蛋白带 ,纯度达 80 % .Western印迹在相应位置呈阳性染色 .此蛋白刺激小鼠成纤维细胞 4 8h后 ,胞内ALP的活性增高 ,经rhBMP3作用后的细胞MTT染色减弱 .在小鼠股部肌肉内包埋蛋白样品 2～ 3周 ,组织学检测有成骨组织生成 .说明hBMP3在此套系统中获得了表达 .表达产物在体外可以刺激成骨细胞的分化 ,却抑制细胞的增殖 .小鼠体内异位诱骨实验进一步证实表达产物具有成骨活性     

Inhibition of bone resrption by selctive inactivators of cysteine proteinases

Incativators of cystein proteinases (CPs) were tested as inhibitors of bone resorption in vitro and in vivo. The following four CP inactivators were tested: Ep453, the membrane-permeant produrg of Ep475, a compound with low membrane pereability which inhibits cathepsins B, L, S, H, and calpain; Ep453, the membrane-permeant prodrug of Ep475; CA074, a compound with low membrane permeability which selectivly inactives cathepsin B; and CA07Me, the membrane-permanent prodrug of CA074. The test systems consisted of (1) monitoring the release of radioisotope from prelabelled mousecalvarial explants and (2) assessing the extene of bone resorption in and isolated osteoclast assay using confocal laser microscopy. Ep453, Ep475, and CA074Me inhebited both stimulated and basal bone resorption in vitro while CA074 WASA without effect; The inhibition was reversible and dose dependent. None of the inhibitors affected protein synthesis, DNA synthesis, the PTH-enhanced secretion of β-glucuronised, and N-acetyle-β-glucosaminidase, or the spontaneous release of lactate dehyrogenese. Ep453, Ep475, and CA074Me does-dependently inhibited the resorption activity of isolated areat osteoclassts cultured on bone slices with a maximal effect at 50 μM. The munber of resorption pits and their mean volume was reduced, whilest the mean administration subcutaneously at a dose of 60 μg/g body weight inhibited bone resorption in vivo as measured by an in vivo/in vitro assay, by about 20%. This study demonestration that cathepsins B,L, and/or S are involved in bone resorpotion in vitro and in vivo. Whilest cathepsin L and/or S act extracellularly, and possibly intractually, cathepsin B mediate its effects intracellularly perpheps through the activation of other proteinases involved in subsosteoclastic collagen degradition.     

A novel method for embedding neonatal murine calvaria in methyl methacrylate suitable for visualizing mineralization,cellular and structural detail

The study of undecalcified bone by histological methods is essential in the field of bone research. Culturing skeletal tissues such as neonatal murine calvaria provides a reliable bridge between assessment of bone formation in vitro and anabolic activity in vivo and contains most of the essential elements of bone for studying bone formation. Neonatal calvarial assay, supported by histological methods, is used to study the anabolic effects of a wide variety of factors and compounds on bone tissue. To optimize visualization and histomorphometric measurements using neonatal calvaria, we developed a method that provides high quality tissue sections suitable for routine and histochemical staining. Undecalcified neonatal mouse calvaria were processed and embedded using a low temperature methyl methacrylate procedure. Various staining methods were performed on deplastisized and floated sections to examine mineralization and to identify cells. The Von Kossa stain counterstained with a modified H & E yielded precise images of unmineralized bone including mineralization sites, and distinct osteoblasts and osteoclasts. Toluidine blue, Ladewig's trichrome, tartrate-resistant acid phosphatase, Goldner, H & E and Villanueva stains also were tested on the undecalcified neonatal calvaria sections.     

A novel method for embedding neonatal murine calvaria in methyl methacrylate suitable for visualizing mineralization, cellular and structural detail

The study of undecalcified bone by histological methods is essential in the field of bone research. Culturing skeletal tissues such as neonatal murine calvaria provides a reliable bridge between assessment of bone formation in vitro and anabolic activity in vivo and contains most of the essential elements of bone for studying bone formation. Neonatal calvarial assay, supported by histological methods, is used to study the anabolic effects of a wide variety of factors and compounds on bone tissue. To optimize visualization and histomorphometric measurements using neonatal calvaria, we developed a method that provides high quality tissue sections suitable for routine and histochemical staining. Undecalcified neonatal mouse calvaria were processed and embedded using a low temperature methyl methacrylate procedure. Various staining methods were performed on deplastisized and floated sections to examine mineralization and to identify cells. The Von Kossa stain counterstained with a modified H & E yielded precise images of unmineralized bone including mineralization sites, and distinct osteoblasts and osteoclasts. Toluidine blue, Ladewig's trichrome, tartrate-resistant acid phosphatase, Goldner, H & E and Villanueva stains also were tested on the undecalcified neonatal calvaria sections.     

An in vitro assay for T lymphocyte progenitors (CFU-preT)

Thy-1.2 negative progenitors give rise to Thy-1.2 positive colony cells when mouse bone marrow is cultured in vitro. The bone marrow cells are immobilized in a viscous medium containing methyl cellulose; discrete colonies are identifiable at 2 days and contain 30–60 cells by day 3 of culture. Colonies are tightly packed spheres (raspberries) and grow suspended in the gel. Growth of the raspberry colonies is absolutely dependent upon the presence of the appropriate serum (horse or human; not fetal calf) and conditioned medium from pokeweed mitogen-stimulated mouse spleen cells. As little as 0.1% of the conditioned medium is sufficient to promote raspberry colony growth. Under these conditions, nude mouse bone marrow yields as many colonies (1 per 1,000 nucleated cells plated) as normal marrow. Thymus, lymph node; and spleen (normal or nude) do not form colonies. Colony precursors are predominantly in S phase of the cell cycle, as determined by tritiated thymidine suicide of fresh bone marrow. Their numbers fall with age. Because the cells in colonies are Thy-1 positive, peanut agglutinin-positive, and active in a pre-T cell synergy assay, we conclude that their precursors are early committed T cell progenitors, and propose that they be called CFU-preT.